Pregnancy, night breathlessness - Online Doctor Chats

User : hi i am 4weeks 4 days pregnant to be precise.the problem is that when i lay down i feel im soffocated im out of breath and ill have dizzy spells.when i sleep i dont wake up in the middle of the night breathless.when i wake up i feel very uncomfortable but a little short of breath

Doctor : Hi
User : hi
Doctor : I am
User : can you see my query?
Doctor : Yes
Doctor : Is this your first pregnancy?
User : no my second
Doctor : Do you have similar problem during the first one?
User : no
User : its when i lay on my pillow its like someone is holding my breath
Doctor : Do you have breathlessness during your daily activities now?
Doctor : I mean shower, cooking etc
User : yes even when i climb up the stairs i feel that im out of breath but after a while ill be ok
Doctor : Do you have breathing difficulty during walking?
User : no while cooking and showering no
User : yes a little but
User : do you think its something from my heart??
Doctor : It is still tricky, usually the breathing difficulty is graded based on the activity
Doctor : When a person lies down or during rest, if one is having a breathing difficulty, it is said to be of highest grade
Doctor : Doctor feels that he should having the difficulty even during normal activity
User : whet it means highest grade?? sorry but im from Malta and i dont know exactly
Doctor : severe
User : so what do you suggest
Doctor : When did this problem arise?
Doctor : Since how many days?
User : a week
Doctor : Is it increasing since then?
User : no its the same
Doctor : Did the problem start all of a sudden when you woke up one morning?
User : can it be a blood clot??
User : yes
Doctor : Do you have any other problems in the past?
User : no that i know
Doctor : What is your age?
User : 32 tomorrow:)
Doctor : Do you have asthma, allergy, Diabetes, High blood pressure?
User : no
Doctor : Do you smoke?
User : yes but i quit now
Doctor : Do you have chest pain?
User : no
Doctor : Do you have swelling of legs?
User : no
Doctor : Do you have swelling of face?
User : no
Doctor : Did you get your first visit with the Gynecologist after pregnancy?
User : no its another 4 weeks
Doctor : When was the pregnancy confirmed?

Doctor : How?
User : 2 days ago.cause when i called for the app they said he wont be able to see anything before the 8th week
Doctor : How did you confirm, urine test?
User : yes
Doctor : This problem is not related to new pregnancy
Doctor : There can be underlying lung or heart problem which we can relate to
User : what shall i do?
User : can it be anxiety??
Doctor : Hence a detailed examination of the doctor and tests before you meet the Gynecologist in few weeks
Doctor : is suggested
Doctor : Anxiety is a reason
Doctor : but anxiety should only be confirmed after other reasons are ruled out
User : what test should i ask to do to see if its lung or heart related?
Doctor : Hemogram, Chest Xray, 2 D ECHO

User : can i have a chest x ray while pregnant
Doctor : yes
User : i dont think they do it here
Doctor : Which one?
User : the chest x ray
User : cause im p regnant
Doctor : Listen the use of any test during pregnancy should be weighed against its benefits
Doctor : When I said the above tests it is not manadatory
Doctor : First they examine physically with BP, PULSE, LUNG and HEART examination
Doctor : if they are not able to figure out the reason
Doctor : then they go for tests
User : ok i see
User : so if they hear the lungs with the steteschope they can hear if something is wrong??
Doctor : yes